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Comparative Study of Group Treatments for Posttraumatic Stress Disorder

机译：对宫外应激障碍组治疗的比较研究

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Presented herein is a comparative study of group treatments for posttraumatic stress disorder (PTSD). In this study, an emerging intervention, memory specificity training (MeST), was compared with cognitive processing therapy (CPT) using standardized outcome measures of target symptoms (i.e., anxiety and depression from client perspective; memory specificity from independent rater perspective) and global functioning (independent rater perspective), as well as a process measure of expectancy (client perspective). Clients were assessed on 3 separate occasions: at baseline, posttreatment, and 3 months posttreatment. Adherence and treatment fidelity (independent rater perspective) were monitored throughout the course of both treatment conditions. Improvement in PTSD symptoms, depressive symptoms, and global functioning were similar between MeST and CPT; an increase in ability to specify memories upon retrieval was also similar between MeST and CPT. Positive reliable change was observed in both groups on all outcome measures. With respect to the primary target of PTSD symptoms, 88% of participants in both treatment groups moved into the functional distribution by posttreatment and maintained these gains at follow-up. Notably, compared with CPT, MeST required only half the dosage (i.e., number of sessions) to accomplish these gains. Illustrative vignettes from client-therapist exchanges are provided, and results are discussed in terms of the potential mechanisms of action. Implications for both clinical practice and clinical research are also included.
机译：本文呈现的是针对错误后应激障碍（PTSD）的组治疗的比较研究。在本研究中，使用目标症状的标准化结果测量（即，从客户观点的焦虑和抑郁症的标准化结果测量（即，独立评估的焦虑视角）和全球焦虑和抑郁症的认知治疗治疗（CPT）进行了新兴干预，记忆特异性培训（MEST）。作用（独立速度透视），以及期望率的过程措施（客户端视角）。在3个独立的场合评估客户：在基线，后处理和3个月后治疗。在整个治疗条件的过程中监测依从性和治疗保真度（独立评估术透视）。活力度症状，抑郁症状和全球性功能之间的改善在MEST和CPT之间相似;在检索时指定存储器的能力的增加也是相似的最类似的。在所有结果措施中，两组都观察到正可靠的变化。对于PTSD症状的主要目标，两种治疗组的88％的参与者通过后处理迁入功能分布，并在随访时保持这些收益。值得注意的是，与CPT相比，比较只需要一半的剂量（即，会话数）来实现这些收益。提供了来自客户治疗师交换的说明性小插图，并就潜在的行动机制讨论了结果。还包括对临床实践和临床研究的影响。

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